Individual
MONICA YARED QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 WILSHIRE BLVD, CASSELBERRY, FL 32707-5372
(866) 411-6619
Mailing address
1910 BROCKRIDGE RD, KINDRED, FL 34744-6005
(407) 572-4950
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-18-8655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018112700
—
FL
Enumeration date
03/29/2018
Last updated
01/04/2019
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